《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (02): 164-166.

• 临床研究 • 上一篇    下一篇

脑损伤患儿感觉统合训练研究

张雁1,2;吴卫红1,2   

  1. 1. 首都医科大学康复医学院，北京市 100068;2. 中国康复研究中心北京博爱医院儿童康复科，北京市 100068
  • 收稿日期:2008-09-01 出版日期:2009-02-01 发布日期:2009-02-01

Study of the Sensory Integration Training in Children with Brain Injury

ZHANG Yan, WU Wei-hong   

  1. The Department of Children Rehabilitation, Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Received:2008-09-01 Published:2009-02-01 Online:2009-02-01

PDF (PC)

被引次数

39

摘要： 目的 了解不同脑损伤患儿感觉统合的特点，观察感觉统合训练对脑损伤患儿的综合功能恢复的效果。方法 对139例脑瘫和智力低下患儿，及其他肢体障碍的脑损伤患儿的感觉统合发展核对表分数进行对比，其中127例患儿分为试验组92例和对照组35例，均进行综合康复训练，试验组增加感觉统合训练，比较两组患儿的综合能力评分变化。结果 脑损伤患儿的感觉统合发展核对表平均分数为（36.01±8.11）。脑瘫和智力低下患儿感觉统合功能差异主要表现在脑神经生理抑制困难(P<0.01)、触觉防御和脾气敏感、空间形态视感觉异常(P<0.05)、心绪自我形象不良(P<0.05)等方面。肢体障碍程度不同的脑损伤患儿感觉统合情况的差异主要表现在发育期运用障碍(P<0.01)、空间形态视觉异常(P<0.05)和重力不安全症(P<0.01)方面。肢体障碍类型不同的脑损伤患儿感觉统合情况的差异主要表现在重力不安全症(P<0.05)方面。试验组患儿进行感觉统合训练后综合能力评分提高较对照组明显(P<0.01)。结论 脑损伤患儿感觉统合功能中度异常；脑瘫患儿的感觉统合能力较智力低下患儿高；肢体障碍程度较重患儿感觉统合能力较差，特别是在空间认知和本体感觉方面；双瘫患儿的本体感觉和前庭觉统合能力较四肢瘫患儿差；感觉统合训练对脑损伤患儿综合能力的提高有明显效果。

关键词: 脑损伤, 感觉统合, 智力低下, 综合康复, 儿童

Abstract: Objective To comprehend the characters of sensory integration of children with brain injury and identify the effect of sensory integration training.Methods 127 children with brain injury were determined by the check form of sensory integration, Wechsler Preschool and Primary Scale of Intelligence (WPPSI), Wechsler Intelligence Scale for Children-China Recension (WISC-CR) and comprehensive function assessment for disabled children. These children were divided into the trial group (n=92) and control group (n=35). All children of two groups received rehabilitation training, but children of the trial group also received sensory integration training. The Results of them were compared before and after rehabilitation.Results The scores of the check form of sensory integration of the children with cerebral palsy were significantly higher than that of children with mental retardation (P<0.01). After rehabilitation training, the raising scores of comprehensive function assessment for disabled children of the trial group were significantly higher than the control group (P<0.01).Conclusion The ability of sensory integration are abnormal in children with brain injury. The sensory integration training can accelerate the comprehensive function of children with brain injury effectively.

Key words: brain injury, sensory integration, mental retardation, synthesized rehabilitation, children